Individual
KUAN-REN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., M.S.T.O.M.
Contact information
Practice address
1236 CHICAGO AVE, UNIT 401, EVANSTON, IL 60202-6509
(847) 508-1833
Mailing address
1236 CHICAGO AVE, UNIT 401, EVANSTON, IL 60202-6509
(847) 508-1833
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001124
IL
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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